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Clinical Skills Neutering and Ligation
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,Clinical skills - Neutering and ligation.pdf Clinical skills - Neutering and ligation.pdf Clinical skills - Neutering and ligation.pdf
Terms in this set (16)
Compare and contrast the advantages and the Midline
disadvantages of a midline approach versus a flank - adv: all relevant anatomy can be seen and therefore if anything goes
approach of a cat spay wrong it can be easily corrected (full abdomen access)
- disadv: convalescence is longer (recovery), slower procedure due to
more suturing
- can also identify if the cat has already been spayed.
Flank
- adv: usually quicker, small incision and shorter recovery time
- disadv: uterus must be found blind, and if anything goes wrong then this
incision needs to be closed before performing a ventral midline incision to
correct things.
- can't identify if the cat is already spayed.
Clinical skills - Neutering and ligation.pdf Clinical skills - Neutering and ligation.pdf Clinical skills - Neutering and ligation.pdf
,Clinical skills - Neutering and ligation.pdf Clinical skills - Neutering and ligation.pdf Clinical skills - Neutering and ligation.pdf
What ligaments would require ligating in the cat Suspensory ligament
spay? - avascular
- keeps ovary retained close to the body wall
- this is shorter and more dense in dogs and will require breaking to
exteriorise the ovary prior to ligation of the ovarian ligament.
- cats = long and loose
Ovarian ligament
- contains the ovarian artery and vein
Clinical skills - Neutering and ligation.pdf Clinical skills - Neutering and ligation.pdf Clinical skills - Neutering and ligation.pdf
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Describe how you would approach a ventral midline - cat in dorsal recumbency: head to the left and tail on right of the surgeon.
cat spay Bladder and small intestine should be immediately identifiable
- push the bladder caudally and the small intestine cranially to visualise the
uterine body/bifurcation (this can sometimes move to one side of the
colon, but should still clearly be seen.
- using dressing forceps grasp one of the uterine horns and exteriorise it
- gently pull the rest of the uterine horn until the ovary and
suspensory/uterine ligament are exteriorised.
- ligate ovarian ligament (with suspensory) using a 3 clamp technique.
Ligate with a circumferential ligament (care, this may be friable in cats in
season and can tear with placement of clamps)
- bottom clamp as low down the ovarian ligament as possible, and the top
as close to the ovary as possible, ensuring you don't clamp the actual
ovary. Place the middle clamp immediately below the top clamp
- bottom clamp creates a crush bed. Place the first throw of a
circumferential suture above or below the bottom clamp and then tighten
Clinical skills - Neutering and ligation.pdf Clinical skills - Neutering and ligation.pdf Clinical skills - Neutering and ligation.pdf